MELANIE HACKNEY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174249874

MELANIE HACKNEY (PMHNP-BC) is a healthcare provider. based in Douglasville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN284708 (GA). The NPI Number for MELANIE HACKNEY (PMHNP-BC) is 1174249874

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE HACKNEY (PMHNP-BC)
NPI
1174249874
Phone
(770) 438-1799
Address
6025 Professional Pkwy Ste 301
Enumeration Date
13 October 2022
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704381799
Graduation Year
2022 (4 years ago)
PAC ID
3375062326
Group Practice PAC ID
4981736519
Professional Enrollment ID
I20250522002691
Address ID
GA301218005CA15XXXNEXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MELANIE HACKNEY (PMHNP-BC)

  • 6025 Professional Pkwy Ste 301

    Douglasville, GA 301345610

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Location

  • 15 Medical Dr NE Ste 350

    Cartersville, GA 301218005

    Phone: (470) 737-1606

    Fax: (833) 973-4256

    Type: Location

  • 10475 Medlock Bridge Rd Ste 420

    Johns Creek, GA 300974439

    Phone: (470) 737-1569

    Fax: (833) 973-2670

    Type: Location

  • 1 Baltimore Pl NW Ste 200

    Atlanta, GA 303082114

    Phone: (470) 737-1606

    Fax: (833) 973-4256

    Type: Location

  • 1314 Concord Rd SE

    Smyrna, GA 300804361

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Location

  • 11755 Pointe Pl Ste A1

    Roswell, GA 300764657

    Phone: (770) 667-1264

    Fax: (770) 667-2238

    Type: Location

  • 2150 PEACHFORD RD STE Q

    ATLANTA, GA 303386539

    Phone: (678) 615-7032

    Type: Mailing

  • 1314 CONCORD RD SE

    SMYRNA, GA 300804361

    Phone: (770) 438-1799

    Fax: (770) 825-9046

    Type: Mailing

  • 1012 COGGINS PL NE

    MARIETTA, GA 300602585

    Phone: (770) 422-2009

    Fax: (770) 428-0330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 238 Open Payments records for all available years, with a total value of $4,338.

Total Amount is formed as General ($4,338) + Research ($0) + Ownership ($0) = $4,338.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: ABBVIE INC. ($543).

Total Amount

$4,338

General + Research + Ownership

Payments

238

Total payment records

General Amount

$4,338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250522002691INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981736519View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Marriage And Family TherapistGA
Nurse PractitionerGA
Certified Clinical Nurse Specialist (Cns)GA
Clinical Social WorkerGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Nurse PractitionerGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

What unique ID ties claims to MELANIE HACKNEY (PMHNP-BC)?
NPI 1174249874 is assigned to MELANIE HACKNEY (PMHNP-BC) under the national enumeration system.
Is MELANIE HACKNEY (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MELANIE HACKNEY (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MELANIE HACKNEY (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where does public data place MELANIE HACKNEY (PMHNP-BC)?
The snapshot lists Douglasville, Georgia for MELANIE HACKNEY (PMHNP-BC); download NPPES for the complete set.
How can I contact MELANIE HACKNEY (PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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